| NPI | 1083943104 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT11425) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 5749) | 
| Enumeration Date | 2009-12-19 | 
| Last Update Date | 2009-12-19 |